Provider Demographics
NPI:1841756228
Name:FLYNN, LYNSEY RENAE (APRN)
Entity Type:Individual
Prefix:
First Name:LYNSEY
Middle Name:RENAE
Last Name:FLYNN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:NANCY
Mailing Address - State:KY
Mailing Address - Zip Code:42544-0100
Mailing Address - Country:US
Mailing Address - Phone:606-636-4214
Mailing Address - Fax:606-636-4215
Practice Address - Street 1:7238 W HIGHWAY 80
Practice Address - Street 2:
Practice Address - City:NANCY
Practice Address - State:KY
Practice Address - Zip Code:42544-8752
Practice Address - Country:US
Practice Address - Phone:606-636-4214
Practice Address - Fax:606-636-4215
Is Sole Proprietor?:No
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3013020363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily